PROGRAM PERFORMANCE REPOT FOR TITLE III OF THE OLDER AMERICANS ACT AND FINANCIAL STATUS REPORT

ICR 198112-0980-001

OMB: 0980-0004

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0980-0004 198112-0980-001
Historical Active 198008-0980-003
HHS/HDSO
PROGRAM PERFORMANCE REPOT FOR TITLE III OF THE OLDER AMERICANS ACT AND FINANCIAL STATUS REPORT
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 12/21/1981
Retrieve Notice of Action (NOA) 12/03/1981
  Inventory as of this Action Requested Previously Approved
09/30/1983 09/30/1983
228 0 0
7,140 0 0
0 0 0

PROGRAM PERFORMANCE REPORT WILL FACILITATE AOA WITH A DATA BASE ON PROGRAMMATIC OPERATIONS OF STATE AGENCIES AND THE FINANCIAL STATUS REPORT IS IN ACCORD WITH HHS'S FINANCIAL REPORTING REQUIREMENTS FOR REPORTING THE STATUS OF FUNDS FOR ALL NONCONSTRUCTION GRANTS.

None
None


No

1
IC Title Form No. Form Name
PROGRAM PERFORMANCE REPOT FOR TITLE III OF THE OLDER AMERICANS ACT AND FINANCIAL STATUS REPORT 059-75

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 228 0 0 228 0 0
Annual Time Burden (Hours) 7,140 0 0 7,140 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/03/1981


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